Medical Billing for Orthopedics involves the accurate calculation based on thorough documentation before, during, and after a patient's visit. MBC billers, specializing in orthopedic billing, understand your pain-points better than anyone else.

That is why they are continuously evolving with billing reforms and technology so that there would be fewer claim rejections. As a result, they can be expected to perform a host of services such as:

  • Assigning correct and accurate codes to multiple procedures
  • Providing both electronic and paper billing
  • Regular code audit checks to apply appropriate codes
  • Analyzing accounts to prevent blockages in cash flows
  • Follow up with payers for pending payouts
  • Generating daily, weekly and monthly financial reporting

Did you know?

  • While billing for CPT code A5500 (diabetic shoe fitting and modification left and right foot) use of the KX modifier is mandatory in order to be reimbursed.
  • Our team is aware of the importance of the KX modifier for CPT code L3030 (foot inserts removable) in order to avoid rejection from payers - L3030LTKX (left foot) and L3030RTKX (right foot).
  • Our experts understand that modifier RT LT is not applicable while billing for CPT code 97597 (Removal of devitalized tissue) for up to 20 square centimeters, irrespective of left or right foot.

With the continuous changes in medical billing laws, our billers and coders located in the state of South Dakota are committed to not only make your billing a seamless process but also to make sure that you are updated with the governments expectation from physicians.

Located in cities like Sioux Falls, Rapid City, Aberdeen, Water Town and Brookings, they have the required knowledge of all the hardware, software, specialty and commitment to deliver you an effective and unparallel service. You can choose the services you would like better managed for your clinic:

  • Conducting Code Audits with CPT, ICD-10 and HCPCS
  • Entering Patient Demographics
  • Mailing Patient billing statements
  • Accounts receivables analysis and clean up
  • Financial reports on a monthly basis

The biggest benefit of having South Dakota local billers is that these billers are well informed of the billing regulations and payer parties. This helps practices such as yours to benefit from the pre-existing relationship and the deep understanding of these Medical Billers and Coders.

The trust that these billers have managed to gather in the span of their Billing career is remarkable and helps practices avoid any audits for the clinic. They follow the best practices in Medical Billing processes to ensure maximum collections.

Our Billers in the state of South Dakota are specialized to service medical practices as per the regulations of the state government. Their knowledge and experience has been acquired by years of efforts in perfecting medical billing procedures which they now leverage to help your practice collect more revenue.

The federal government’s effort to reduce healthcare cost can only be supported by physicians in the state of South Dakota by optimizing costs and enhancing revenue. Letting a specialist handle your medical billing can help you improve collections by 20%.

Accurate Coding and code audit along with timely insurance follow up and account receivables are the basis on which thesebillers in South Dakota guarantee higher profitability for your clinic. Their experience in various software and certification in the medical billing processes will support your practice to grow steadily.

Effective and streamlined coding

Special attention is given to coding so as to make billing error-free. Orthopedic practices may be required to perform numerous clinical activities: non-surgical orthopedics such as physiotherapy, chiropractic, occupational therapy, podiatry, and kinesiology; surgical orthopedics such as hand surgery, shoulder and elbow surgery, total joint reconstruction (arthroplasty), pediatric orthopedics, foot and ankle surgery, spine surgery, musculoskeletal oncology, surgical sports medicine, and orthopedic trauma.

Given the high-cost value of these procedures, it is critical to have them accurately coded so as to avoid being denied or underpaid for coding inaccuracy. Our coders, knowledgeable of the entire coding system, can ensure highest coding accuracy.

Impeccable billing and coding credentials

Our Orthopedic Billing services are driven by specialists who have an impressive repertoire of credentials. Here is quick glance of our affiliates’ credentials:

  • Certification from The American Association of Professional Coders (AAPC)
  • Familiar with medical billing softwares like EHR Software: NextGen Healthcare, Epic, Cerner, AthenaOne, NueMD, TherapyNotes, DrChrono, eClinicalWorks, Allscripts, Athenahealth, Practice Fusion, TherapyNotes etc.
  • Trained on coding software.
  • Being able to apply standard CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis coding as per CMS guidelines
  • Successful track-record of processing medical bills with leading commercial carriers such as United health, WellPoint, Aetna, Humana, HCSC, Blue Cross Group, etc.
  • Ability to negotiate successfully with Medicare and state-specific Medicaid policies.

Improving your revenue management cycle through pertinent intervention

Traversing a sequential order patient enrollment, scheduling, insurance verification, insurance authorizations, scheduling and re-scheduling, coding, billing and reconciling of accounts our medical billing process can add value in terms of simplicity in submission and retrieval of documents, pre-audit on coding, real-time report generation, application of suitable modifiers, etc.

Thus, our Medical Billing Services complete with accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards is the prescription for simplification of your revenue cycle, appreciable increase in collection rates, more patient inflow and referrals, and increased avenue for medical research and development.

Quite expectedly, Orthopedic Physicians who have chosen to engage our billing specialists have been able to make the crucial value-additions: appreciation in practice revenues and clinical efficiency.

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